瘫痪患者使用电动站立床训练致体位性低血压的原因及对策

摘要

Objective: To study cause and treatment of orthostatic hypotension (OH) caused by electric standing bed training in patients with paralysis. Methods: Reasons of OH in 16 cases caused by electric standing bed training in our hospital from Jan 2011 to Apr 2012 were retrospectively analyzed and its prevention and treatment was summarized. Results: Causes of OH during electric standing bed training in order were: urinary retention (43. 75%) , ≥70 years old (43.75%), too fast increasing standing bed angle (25%), taking antihypertensive drugs (12.5%) and mental stress (6.25%). Conclusion: Nicely explaining, relieving anxiety before training, arranging right training time, gradually increasing angle of electric standing bed, especially for the aged may decrease orthostatic hypotension in electric standing bed training for patients with paralysis.%目的:探讨瘫痪患者使用电动站立床训练出现体位性低血压(OH)的原因及对策.方法:回顾性分析2011年1月至2012年4月在我院使用电动站立床训练时出现OH的16例的原因并总结防治措施.结果:引起电动站立床训练时出现体位性低血压的原因依次为:尿潴留(43.75％),70岁以上高龄(43.75％)；站立床角度上升过快(25％),使用降压药物(12.5％),精神紧张(6.25％).结论:电动站立床训练前做好解释工作,减轻焦虑；选择恰当的训练时间,循序渐进增加电动站立床的角度；特别是对于高龄患者,可减少瘫痪患者电动站立床训练时的体位低血压.